Provider Demographics
NPI:1679523880
Name:KERMAIER, ALAN IRA (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:IRA
Last Name:KERMAIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1400 FOREST GLEN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1459
Mailing Address - Country:US
Mailing Address - Phone:301-681-5700
Mailing Address - Fax:301-681-5599
Practice Address - Street 1:1400 FOREST GLEN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1459
Practice Address - Country:US
Practice Address - Phone:301-681-5700
Practice Address - Fax:301-681-5599
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0019170207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5021OtherELDER HEALTH NUMBER
MD00416050OtherCAREFIRST MD NUMBER
MDA4700001OtherCAREFIRST DC PROVIDER NUM
MD4285870OtherAETNA PROVIDER NUMBER
MD00416050OtherCAREFIRST MD NUMBER
MDA4700001OtherCAREFIRST DC PROVIDER NUM